Controversies of decompressive craniectomy in the treatment of intracranial hypertension
Keywords:
decompressive craniectomy, intracranial hypertension, severe cranioencephalic trauma, malignant infarction of the middle cerebral arteryAbstract
Intracranial hypertension negatively influences the prognosis of severe head injury and malignant infarction of the middle cerebral artery. Decompressive craniectomy is a treatment option. This review aims to assess the controversies of decompressive craniectomy in the treatment of intracranial hypertension. For this purpose, an exhaustive review of the literature was carried out, taking into account several multicentric and multinational studies that reflected controversial aspects about the use of this neurosurgical procedure as therapy in the management of intracranial hypertension refractory to conservative treatment. It is concluded that Decompressive Craniectomy is considered beneficial in the malignant infarction of the middle cerebral artery, while in the case of severe cranioencephalic traumatism its utility is controversial.
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References
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17. Juttler E, Bosel J, Amiri H et al. (2011). DESTINY II: DEcompressive Surgery for the Treatment of malignant INfarction of the middle cerebral arterY II. Int J Stroke 6 (1): 79–86.
18. Hofmeijer J, Kappelle LJ, Algra A et al. (2009). Surgical decompression for space-occupying cerebral infarction (the Hemicraniectomy AfterMiddle Cerebral Artery infarction with Life-threatening Edema Trial [HAMLET]): a multicentre, open, randomised trial. Lancet Neurol 8 (4): 326–333.
19. Cooper DJ, Rosenfeld JV, Wolfe R (2012). DECRA investigators’ response to “The future of decompressive craniectomy for diffuse traumatic brain injury” by Honeybulet al. J Neurotrauma 29 (16): 2595–2596.
20. Timmons SD, Ullman JS, EisenbergHM(2011). Craniectomy in diffuse traumatic brain injury.NEngl J Med 365 (4): 373.
21. Sahuquillo J, Martinez-Ricarte F, Poca MA (2013). Decompressive craniectomy in traumatic brain injury after the DECRA trial. Where do we stand? Curr Opin Crit Care 19 (2): 101–106.
22. Honeybul S, Ho KM, Lind CR et al. (2011a). The future of decompressive craniectomy for diffuse traumatic brain injury. J Neurotrauma 28 (10): 2199–2200.
23. Honeybul S, Ho KM, Lind CR et al. (2011b). Decompressive craniectomy for diffuse cerebral swelling after trauma: long-term outcome and ethical considerations. J Trauma 71 (1): 128–132.
24. Hutchinson PJ, Kolias AG, Timofeev IS et al. (2016). Trial of decompressive craniectomy for traumatic intracranial hypertension. N Engl J Med 375 (12): 1119–1130.
2. Godoy D.A., Moscote Zalazar L.R., Rubiano A., Munoz-Sánchez Á., Lubillo S., Murillo-Cabezas F. Craniectomía descompresiva secundaria para el manejo de la hipertensión endocraneanal refractaria en el traumatismo craneoencefálico grave. Luces y sombras de los estudios recientes. Med Intensiva. 2017;41(8):487---490. www.elsevier.es/medintensiva
3. González F, Moreno-García M, Sánchez-Barba M, Sánchez-Hernández F. Factores pronósticos relacionados con la mortalidad del paciente con trauma grave: desde la atención prehospitalaria hasta la Unidad de Cuidados Intensivos. MedIntensiva. 2015;39:412---21.
4. Kolias AG, Adams H, Timofeev I, Czosnyka M, Corteen EA, Pickard JD, et al. Decompressive craniectomy following traumatic brain injury: Developing the evidence base. Br J Neurosurg. 2016;30:246---50.5.
5. Gómez PA, Castaño León AM, Lora D, Cepeda S, Lagares A. Evolución temporal en las características de la tomografía computarizada, presión intracraneal y tratamiento quirúrgico en el traumatismo craneal grave: análisis de la base de datos de los últimos 25 años en un servicio de neurocirugía. 2017 http://dx.doi.org/10.1016/j.neucir.2016.11.002
6. Grille P, Tommasino N. Craniectomía descompresiva en el trauma encefalocraneano grave: factores pronósticos y complicaciones. Rev Bras Ter Intensiva. 2015;27(2):113-118. DOI: 10.5935/0103-507X.20150021
7. López Jiménez H. Impacto de la craniectomía descompresiva precoz en los resultados del tratamiento del trauma craneoencefálico grave. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. 2016; 41(2). Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/542.
8. Carney N, Totten AM, O’Reilly C, Ullman JS, Hawryluk GW, BellMJ, et al. Guidelines for the management of severe trauma-tic brain injury, fourth edition.Neurosurgery.2017;80:15. http://dx.doi.org/10.1227/NEU.0000000000001432
9. Esqueda-Liquidano MA et-al. Edema cerebral II: tratamiento médico y quirúrgico. Med Int Méx 2014;30:687-695.
10. Kramer AH, et-al. Decompressive Craniectomy in Patients with Traumatic Brain Injury: Are the Usual Indications Congruent with Those Evaluated in Clinical Trials? Neurocrit Care (2016) 25:10–19. DOI 10.1007/s12028-015-0232-8
11. Carney N. et-al. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery 80:6–15, 20. DOI:10.1227/NEU.0000000000001432. www.neurosurgery-online.com
12. Daley MJ, Brown CV. Late venous thromboembolism prophylaxis after craniotomy in acute traumatic brain injury. Am Surg. 2015;81(2):207-211.
13. Frank JI, Schumm LP, Wroblewski K et al. (2014). Hemicraniectomy and durotomy upon deterioration from infarction-related swelling trial: randomized pilot clinical trial. Stroke 45 (3): 781–787.
14. Vahedi K, Vicaut E, Mateo J et al. (2007a). Sequential-design, multicenter, randomized, controlled trial of early decompressive craniectomy in malignant middle cerebral artery infarction (DECIMAL Trial). Stroke 38 (9): 2506–2517.
15. Vahedi K, Hofmeijer J, Juettler E et al. (2007b). Early decompressive surgery in malignant infarction of the middle cerebral artery: a pooled analysis of three randomized controlled trials. Lancet Neurol 6 (3): 215–222.
16. Juttler E, Schwab S, Schmiedek P et al. (2007). Decompressive Surgery for the Treatment of Malignant Infarction of the Middle Cerebral Artery (DESTINY): a randomized, controlled trial. Stroke 38 (9): 2518–2525.
17. Juttler E, Bosel J, Amiri H et al. (2011). DESTINY II: DEcompressive Surgery for the Treatment of malignant INfarction of the middle cerebral arterY II. Int J Stroke 6 (1): 79–86.
18. Hofmeijer J, Kappelle LJ, Algra A et al. (2009). Surgical decompression for space-occupying cerebral infarction (the Hemicraniectomy AfterMiddle Cerebral Artery infarction with Life-threatening Edema Trial [HAMLET]): a multicentre, open, randomised trial. Lancet Neurol 8 (4): 326–333.
19. Cooper DJ, Rosenfeld JV, Wolfe R (2012). DECRA investigators’ response to “The future of decompressive craniectomy for diffuse traumatic brain injury” by Honeybulet al. J Neurotrauma 29 (16): 2595–2596.
20. Timmons SD, Ullman JS, EisenbergHM(2011). Craniectomy in diffuse traumatic brain injury.NEngl J Med 365 (4): 373.
21. Sahuquillo J, Martinez-Ricarte F, Poca MA (2013). Decompressive craniectomy in traumatic brain injury after the DECRA trial. Where do we stand? Curr Opin Crit Care 19 (2): 101–106.
22. Honeybul S, Ho KM, Lind CR et al. (2011a). The future of decompressive craniectomy for diffuse traumatic brain injury. J Neurotrauma 28 (10): 2199–2200.
23. Honeybul S, Ho KM, Lind CR et al. (2011b). Decompressive craniectomy for diffuse cerebral swelling after trauma: long-term outcome and ethical considerations. J Trauma 71 (1): 128–132.
24. Hutchinson PJ, Kolias AG, Timofeev IS et al. (2016). Trial of decompressive craniectomy for traumatic intracranial hypertension. N Engl J Med 375 (12): 1119–1130.
Published
2019-11-03
How to Cite
1.
Sierra Benitez EM, León Pérez M, Morales Fuentes MA. Controversies of decompressive craniectomy in the treatment of intracranial hypertension. Rev Méd Electrón [Internet]. 2019 Nov. 3 [cited 2025 Jan. 10];41(6):1446-57. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/3221
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